The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health proposed payment rule late Friday. It comes with a decrease to payment rates by 4.2%, or $810 million less compared to 2022 rates. Overall, the proposed rule looks to be one that will be disappointing to providers, and one they […]
Despite being a significant regulatory change to the home health care industry, some providers aren’t so sure whether the Home Health Value-Based Purchasing (HHVBP) Model will have that significant of a bottom-line impact. The proposed model is constructed in such a way where the very best performers receive the largest payment boost, with a maximum […]
Face-to-face encounter documentation remains a pain point for home health providers. It makes sense why, too. The rules and regulations around it are often inconsistent, but there are also ways for providers to fight back against claim denials. Face-to-face documentation is already one of the top reasons for those claim denials in Medicare and Medicaid, […]
The traditional brick-and-mortar hospital system is broken, often leaving patients in a condition that’s worse than when they first arrived. That’s according to a May report from the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). The findings throw further support for facility-based care alternatives, including the types of hospital-at-home models […]
Home health care providers and Medicare-for-all advocates certainly agree on their general disliking of Medicare Advantage (MA). The one problem is that these advocates are also fervently against direct contracting in traditional Medicare. And that is an area where many home-based care providers believed they could enter into new, value-based care arrangements either with the […]
With the nationwide rollout of the Home Health Value-Based Purchasing (HHVBP) Model inching closer, home health agencies are feeling confident about their ability to adapt. Not only are operators confident, but some are even excited about what HHVBP might translate to in terms of improved managed care relationships and further diversion away from skilled nursing […]
Aging in place is difficult for many Americans, but it’s even more difficult for those living in rural areas. Things are additionally hard on in-home care providers in such parts of the country. To ensure access to home health services, the Medicare program has historically provided a rural add-on payment to agencies, giving them slightly […]
It would be silly to have an argument over whether value-based care is a good principle. That’s unless, of course, you had to parse out what exactly each individual or organization meant when they referred to value-based care. No one would argue – or should argue – that making the health care system more focused […]
The U.S. Department of Health and Human Services (HHS) on Wednesday opted to renew the COVID-19 public health emergency (PHE), keeping in place several regulatory waivers that have been critical lifelines for home health and hospice operators since the start of 2020. While the extension itself is not surprising, it offers further stability as operators […]
The National Academies of Sciences, Engineering and Medicine (NASEM) on Wednesday released its long-anticipated report on how to improve nursing home care in the U.S. In doing so, NASEM reinforced what so many long-term and post-acute care stakeholders have learned over the past two years: that, for multiple reasons – both within and beyond their […]
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